| NAME |
CYSTEAMINE BITARTRATE 300MG/PKT GRNL,EC-ORAL |
| VA GENERIC NAME |
CYSTEAMINE |
| DOSAGE FORM |
GRNL,EC-ORAL |
| HAZARDOUS TO DISPOSE |
NO |
| ACTIVE INGREDIENTS |
|
| CS FEDERAL SCHEDULE |
Unscheduled |
| STRENGTH |
300 |
| SINGLE/MULTI SOURCE PRODUCT |
Single source |
| UNITS |
MG/PKT |
| NATIONAL FORMULARY NAME |
CYSTEAMINE GRNL,EC-ORAL |
| CREATE DEFAULT POSSIBLE DOSAGE |
YES |
| CODING SYSTEM |
|
| COPAY TIER |
-
- COPAY TIER LEVEL: 3
- COPAY EFFECTIVE DATE: 2020-02-27 00:00:00
|
| PGX ELIGIBLE |
NO |
| PGX SUPPRESSED |
NO |
| VA PRINT NAME |
CYSTEAMINE BIT 300MG/PKT EC-ORAL GRNL |
| VA PRODUCT IDENTIFIER |
C1928 |
| TRANSMIT TO CMOP |
YES |
| VA DISPENSE UNIT |
PKT |
| MASTER ENTRY FOR VUID |
YES |
| VUID |
4039210 |
| EFFECTIVE DATE/TIME |
-
- 2020-02-28 00:00:00
- STATUS: ACTIVE
|
